Individual provider · Type 1 NPI

Stephanie Ann Clouse, NP-C

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1003314246 Active

Practice location

7910 W Jefferson Blvd Ste 120
Fort Wayne, IN 46804-4159

Fax (260) 435-7672

Mailing address

6920 Pointe Inverness Way Ste 200
Fort Wayne, IN 46804-7934

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71007750A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1003314246

Stephanie Ann Clouse, NP-C's National Provider Identifier is 1003314246, issued on Jan 23, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 23, 2020.